Provider Demographics
NPI:1356805543
Name:NOTARIONE, SHAWN R
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:R
Last Name:NOTARIONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:50 BAKER BLVD STE O
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3674
Mailing Address - Country:US
Mailing Address - Phone:330-869-6344
Mailing Address - Fax:330-869-6366
Practice Address - Street 1:50 BAKER BLVD STE O
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3674
Practice Address - Country:US
Practice Address - Phone:330-869-6344
Practice Address - Fax:330-869-6366
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic